Healthcare Provider Details
I. General information
NPI: 1851869382
Provider Name (Legal Business Name): WEST END PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/02/2018
Last Update Date: 11/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2440 M ST NW STE 422
WASHINGTON DC
20037-1422
US
IV. Provider business mailing address
2440 M ST NW STE 422
WASHINGTON DC
20037-1422
US
V. Phone/Fax
- Phone: 202-450-3381
- Fax:
- Phone: 202-450-3381
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MILAGROS
ARIZA
Title or Position: OWNER
Credential: MD
Phone: 202-450-3381